“…That is why I will remain skeptical about universally treating aortic stenosis by transcatheter aortic valve implantation and, for the time being, am against advocating this method to my patients younger than 80 years who are otherwise physically and mentally fit. Please, remember that in these circumstances surgical aortic valve replacement can be performed with a mortality less than 1%, 5 and we already know that the surgical prosthesis will, almost certainly, last for the rest of the patient's life!…”